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Case Reports
. 2024 Jan 5:12:1390.
doi: 10.12688/f1000research.136351.2. eCollection 2023.

Case Report: Iatrogenic trauma of the bladder due to long-term unidentified intrauterine device malposition inside the bladder with rectovesical fistula

Ahmad Agil  1 , Tjahjodjati Tjahjodjati  1 , Nur Atik  2 , Dedi Rachmadi  3 , Tengku Tania Zahrina  1
Affiliations
Case Reports

Case Report: Iatrogenic trauma of the bladder due to long-term unidentified intrauterine device malposition inside the bladder with rectovesical fistula

Ahmad Agil et al. F1000Res. .

Abstract

According to reports, there are 1.9-3.6 incidences of IUD migration and uterine perforation for every 1000 IUD insertions. It is important to note that bladder perforation caused by a misplaced IUD is uncommon and is thought to happen most frequently during insertion. Here, we describe a patient who presented with symptoms related to the malposition of IUD inside the bladder. It is feasible to draw the conclusion that the cystoscopy technique should be taken into consideration as a suitable therapy option for such injuries in this organ. When a problem cannot be effectively treated by cystoscopy alone, laparotomy should be considered.

Keywords: cystoscopy; iatrogenic bladder trauma; intrauterine device; vesicolithiasis.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. CT scan revealed an encrustation of IUD in the bladder.
Figure 2.
Figure 2.. Cystoscopy, lithotripsy and IUD evacuation procedure.
See this image and copyright information in PMC

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